During the course of exploring the roles of miR-9/9* and miR-124 (ref.
5), we noted that these miRNAs induced neuronal morphologies in cultured cells. To explore this effect in greater detail, we prepared a single lentiviral vector that expresses both precursors of miR-9/9* and miR-124 along with a turbo red fluorescent protein (tRFP) marker, and infected human neonatal foreskin fibroblasts (
Supplementary Fig. 1). The fibroblast culture was free of neural progenitors, keratinocytes or melanocytes (
Supplementary Figs 2–4). Remarkably, fibroblasts expressing miR-9/9*-124 showed a rapid reduction in proliferation, displayed neuron-like morphologies (
Supplementary Fig. 5) and expressed MAP2, a marker of post-mitotic neurons, within 4 weeks after infection (, left). This was owing to synergism between miR-9/9* and miR-124, as expressing these miRNAs separately did not lead to the appearance of MAP2-positive cells (
Supplementary Fig. 6). In light of the low percentage of MAP2-positive cells obtained with miRNAs only (less than 5%, ), we began adding neurogenic transcription factors and found that
NEUROD2 (refs
14–
17) was most effective at increasing the conversion frequency (
Supplementary Fig. 7). We estimate that ~50% of these cells have acquired neuronal fates as indicated by MAP2 expression 30 days after infection (, right, b). However, because cells detached, remained uninfected or died during the conversion process, a conservative estimate is that ~5% of the starting cells became neurons. Importantly, neither
NEUROD2 alone nor non-specific miRNA (miR-NS) could convert fibroblasts into neurons (), demonstrating the essential role of miR-9/9*-124 in this process. Synergism between miR-9/9* and miR-124 seemed to be crucial: expressing miR-9/9* and miR-124 individually with NEUROD2 failed to produce MAP2-positive cells (
Supplementary Fig. 6). Using EdU-incorporation, we found that miR-9/9*-124-infected fibroblasts had exited the cell cycle 1 week after infection (
Supplementary Fig. 8), consistent with the anti-proliferative role of these miRNAs
5. Lastly, immunostains indicated that the induced neurons expressed SCN1a, a key contributor to neuronal excitability, as well as synapsin 1 and NMDA receptor 1 ().
Using whole-cell patch recording, we found that injecting depolarizing current in induced neurons (cultured up to 8 weeks) could consistently trigger single action potentials and in some cases, repetitive firing (). Moreover, their resting membrane potential (−34.1 ± 1.7 mV;
Supplementary Fig. 9) was significantly more negative than that of control fibroblasts (−20.4 ± 0.6 mV,
n = 4). Applying a series of voltage steps to the induced cells evoked large inward currents closely followed by outward currents, which were not observed in the fibroblasts (
Supplementary Fig. 10). Importantly, adding 1 µM tetrodotoxin (TTX) completely and reversibly blocked the initial inward current, confirming that the current was due to voltage-gated sodium channels (), as would be expected from the current–voltage (
I–V) curve of inward currents (, left). The
I–V curve of outward currents showed the characteristics of voltage-gated potassium channels in neurons (, right). Moreover, some of these cells exhibited postsynaptic currents, which could be reversibly blocked by 2,3-dihydroxy-6-nitro-7-sulfamoyl-benzo[f]quinoxaline-2,3-dione (NBQX) and 2-amino-5-phosphonopentanoic acid (APV) (
Supplementary Fig. 11).
We examined the ability of cells converted by miR-9/9*-124- NEUROD2 to elicit a stimulation-dependent calcium influx using the calcium indicator Fluo2. Field stimulation triggered calciuminflux that could be abolished by adding TTX () or 200 µM Cd
2+ (
Supplementary Fig. 12), demonstrating the ability of converted cells to support activity-dependent Ca
2+ influx through voltage-gated Ca
2+ channels without any requirement for a pre-pulse. Activity-dependent uptake and release of the lipophilic dye FM1-43 was used to evaluate the ability to form functional presynaptic terminals
18. We found that the induced cells were able to take up and release FM dyes in a stimulation-dependent and Ca
2+-dependent manner ().
Because the miR-9/9*-124-NEUROD2-induced cells only occasionally showed repetitive action potentials, we sought to optimize the maturation of the cells by introducing additional neurogenic factors. Because
ASCL1 and
MYT1L were previously shown to be important for converting mouse embryonic fibroblasts into functionally mature neurons
19, we expressed miR-9/9*-124 together with
NEUROD2, ASCL1 and
MYT1L (DAM). We found that the miR-9/9*-124-DAM-converted cells were positive for MAP2 expression in approximately 80% of the cells remaining on the coverslips (, representing ~10% of the initially plated cells), and showed extensive neurite outgrowth as illustrated by β-III tubulin staining (, right). In addition, miR-9/9*-124-DAM resulted in complete exit from cell cycle as assayed by EdU pulsing for 4 days (0/176 positive) whereas nearly all control cells were positive for EdU(97/107). Importantly, DAM factors with miRNA-NS failed to produce neurons as assayed by MAP2 staining (
Supplementary Fig. 13). About 80% of the miR-9/9*-124-DAM-converted cells were able to fire repetitive action potentials in response to current injections, and showed typical sodium and potassium currents during voltage clamp depolarizations ( and
Supplementary Figs 9 and 14). Among recorded cells, we also observed spontaneously active cells (2/21) (). Spontaneous excitatory postsynaptic currents (EPSCs) were seen in 10 out of 14 induced cells () without co-cultured primary neurons (
Supplementary Figs 9 and 15a). Furthermore, the induced cells exhibited evoked EPSCs and inhibitory postsynaptic currents (IPSCs) in response to local stimulation (). Importantly, neuronal identity was stable after the removal of exogenous expression of miR-9/9*-124 and DAM after 3 weeks of induction, as they still stained positive for SV2 and synapsin 1 (
Supplementary Fig. 16).
We next performed single-cell analysis to characterize the types of neurons in miR-9/9*-124-DAM-induced cells. From randomly collected single cells 4 weeks post-infection, we analysed a total of 45 induced neurons (based on
MAPT and
TUBB3 co-expression) for genes expressed in different types of neurons. We found that most induced cells were positive for genes expressed in cortical layers ( and
Supplementary Fig. 17). Interestingly, we did not detect a peripheral nervous system marker (peripherin) or dopaminergic/noradrenergic markers (
DDC, TH). Striatal markers (
DLX5 and
DARPP32 (also known as
PPP1R1B)), the serotonergic marker
5HT-2C (also known as
HTR2C), and cerebellar genes (
PCP2, GRP, TPM2) were expressed in only a small number of cells. The miR-9/9*-124-DAM-induced cells seemed to be heterogeneously excitatory (
VGLUT1 (also known as
SLC17A7) and
SLC1A2) and inhibitory (
GAD67 (also known as
GAD1) and
DLX1) (), which is further supported by immunostains of VGLUT1 and GABA (
Supplementary Fig. 18). Moreover, by 4 weeks post-infection, the induced cells already expressed genes important for synaptic structure and function, including
SYN1, BSN, PCLO and
SHANK3 ().
miR-9* and miR-124 target separate sites in the 3′ untranslated region (UTR) of BAF53a, a subunit of BAF complexes resulting in repression of BAF53a and activation of BAF53b, which is involved in an evolutionarily conserved program of neural development
20. Remarkably, we found that all of the nBAF subunits (BAF53b, 45b and 45c) were induced in the converted cells (). In embryonic stem cells, BAF complexes function across the genome at several thousand sites to control placement of polycomb repressive complex 2 and the H3K27me3 repressive mark
21,22. Hence, one role of the miRNAs might be to induce stable epigenetic changes involving polycomb function across the genome.
In addition to BAF53a, miR-9/9* and miR-124 also target other genes essential for neurogenesis and neuronal functions
23 including components of the REST complex such as REST and CoREST
8,9,24–26, and PTBP-1 (ref.
7). We found that human fibroblasts expressed BAF53a, which could be repressed by miR-9/9*-124 (
Supplementary Fig. 19). However, prolonging the expression of BAF53a only incompletely blocked neuronal conversion of fibroblasts, as assayed by MAP2 staining (data not shown). Prolonging the expression of REST, CoREST or PTBP1 yielded similar results (data not shown). These findings indicate that in inducing cell fate transformations, the miRNAs miR-9/9* and miR-124 operate programmatically on multiple targets.
Lastly, we asked whether our approach could be effective in converting adult fibroblasts. We found that adult human dermal fibroblasts (from a 30-year-old female) could be converted into neurons (), albeit more slowly. Recordings from adult cells converted by miR-9/9*-124-DAM 6 weeks after infection showed that they were able to generate action potentials (). They also demonstrated typical voltage-gated sodium and potassium currents (), spontaneous EPSCs ( and
Supplementary Fig. 15b) and evoked EPSCs and IPSCs () without co-cultured primary neurons.
Our studies show that activating a neural developmental regulatory circuit involving miRNAs in human fibroblasts can surprisingly induce their conversion into neurons, indicating an instructive role for this circuitry in human neurogenesis. In our study, neurogenic transcription factors, delivered either singly (NEUROD2), or in combination (NEUROD2, ASCL1 and MTYL1), seem to function synergistically with the neurogenic activities of miR-9/9*-124. This raises the possibility of inducing various types of neurons using miR-9/9*-124 together with different sets of transcriptional factors.